Individual provider Active NPI

Noby Sajan, CRNP

  • Family Nurse Practitioner
  • Fairless Hills, PA
National Provider Identifier
1679335780
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP028375 Issued in PA
Practice address
333 N Oxford Valley Rd
Fairless Hills, PA 19030-2624
Phone
(215) 547-6611
Fax
(215) 547-1054
NPI assigned
Jan 24, 2024
Last updated
Feb 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP028375 PA Primary

Addresses

Primary practice location

333 N Oxford Valley Rd
Fairless Hills, PA 19030-2624

Mailing address

333 N Oxford Valley Rd Ste 102
Fairless Hills, PA 19030-2626
Phone (215) 547-6611

Other practice location 1

100 N Buckstown Rd Ste E206
Langhorne, PA 19047-1815
Phone (215) 741-1963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240712001022 PA Practitioner - Nurse Practitioner 2062957103 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bonner Sports and Physical Medicine, Inc..Group PAC ID 3375523152, 3 clinicians

Practice addresses (Care Compare)

333 N Oxford Valley Rd
Suite 102
Fairless Hills, PA 19030-2626
Phone (215) 547-6611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP028375PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bonner Sports and Physical Medicine, Inc.. CurrentSince Feb 3, 2025 Accepting new patients
Excel Medical Center CurrentSince Feb 27, 2025 Accepting new patients
Comprehensive Care Medical Associates P C CurrentSince Jun 1, 2024 Accepting new patients

Locations

333 N Oxford Valley Rd
Ste 105
Fairless Hills, PA 19030
Phone (267) 229-7102

333 N Oxford Valley Rd
Ste 102
Fairless Hls, PA 19030
Phone (215) 547-6611

100 N Buckstown Rd
Ste E206
Langhorne, PA 19047
Phone (215) 741-1963

208 W Chelten Ave
Philadelphia, PA 19144
Phone (215) 849-3104

7515 Stenton Ave
Philadelphia, PA 19150
Phone (215) 842-5246

8350 Roosevelt Blvd
Philadelphia, PA 19152
Phone (215) 331-6878

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25233/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1679335780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N OXFORD VALLEY RD STE 102",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190302626",
            "telephone_number": "215-547-6611",
            "fax_number": "215-547-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N OXFORD VALLEY RD",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190302624",
            "telephone_number": "215-547-6611",
            "fax_number": "215-547-1054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 N Buckstown Rd Ste E206",
            "address_purpose": "LOCATION",
            "city": "Langhorne",
            "state": "PA",
            "postal_code": "190471815",
            "country_code": "US",
            "telephone_number": "215-741-1963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAJAN",
        "first_name": "NOBY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-24",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP028375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairless Hills, PA

Sources for this page

Verify at the official NPI Registry.